Active NPI
Jawaharlall Jeff Chajulall, APRN
- Family Nurse Practitioner
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11026839
- Practice address
- 9832 US Highway 441 Ste 101
Leesburg, FL 34788-3984 - Phone
- (352) 787-3341
- Fax
- (352) 787-7491
- NPI assigned
- May 25, 2022
- Last updated
- May 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11026839 | FL | Primary |
Addresses
Primary practice location
9832 US Highway 441 Ste 101
Leesburg, FL 34788-3984
Mailing address
3150 Winifred Ave
Zellwood, FL 32798-0908
Phone (407) 446-4002
Other practice location 1
1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987
Phone (352) 753-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120808200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378
340 Heald Way
Suite 208
The Villages, FL 32163-6000
Phone (352) 399-7301
4669 E Sr
44 Suite 101
Wildwood, FL 34785-7460
Phone (352) 399-7301
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Multi-Specialty | Current | Accepting new patients |
| Vizavee Urgent & Primary Care, LLC | Multi-Specialty | Current | Accepting new patients |
| Cardiothoracic & Vascular Surgical Associates PA | Multi-Specialty | Past | Accepting new patients |
Locations
9832 US Highway 441
Ste 101
Leesburg, FL 34788
Phone (352) 787-3341
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290
340 Heald Way
Ste 208
The Villages, FL 32163
Phone (352) 259-5762
910 Old Camp Rd
Ste 114
The Villages, FL 32162
Phone (352) 259-4322
4669 E State Road 44
Ste 101
Wildwood, FL 34785
Phone (352) 399-7301
Interoperability endpoints
- https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4
- jawaharlall.chajulall.1@24264.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Wildwood, FL
- NPI 1821665886
Multi-Specialty
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Multi-Specialty
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba UF Health Spanish Plaines Hospital
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1962140236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 WINIFRED AVE",
"city": "ZELLWOOD",
"state": "FL",
"postal_code": "327980908",
"telephone_number": "407-446-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9832 US HIGHWAY 441 STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347883984",
"telephone_number": "352-787-3341",
"fax_number": "352-787-7491"
}
],
"practiceLocations": [
{
"address_1": "1400 N US Highway 441 Ste 540",
"address_purpose": "LOCATION",
"city": "Lady Lake",
"state": "FL",
"postal_code": "321598987",
"country_code": "US",
"telephone_number": "352-753-9777",
"fax_number": "866-446-1888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAJULALL",
"first_name": "JAWAHARLALL",
"middle_name": "JEFF",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-25",
"last_updated": "2024-05-21",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11026839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120808200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
- Central Florida Medical Partners, LLC
- Central Florida Premier Eye Associates
- Central Florida Premier Eye Associates (Lake Eye Associates)
- Central Florida Psychological Consultants Inc
- Central Florida Ultrasonics, Inc (Cardiovascular Diagnostics of Central Florida, Inc.)
- Malisa Chamberlain
- Pairoj Sae Chang, M.D.
- Chapman Health Group, P.a
- Todd Chapman, DC
- Candace A Chapuseaux, A.R.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.